| Carillon Family Practice Ltd | |
|
2501 S Dixie Dr Kettering OH 45409-1523 | |
| (937) 643-3083 | |
| (937) 643-3089 |
| Full Name | Carillon Family Practice Ltd |
|---|---|
| Speciality | Family Medicine |
| Location | 2501 S Dixie Dr, Kettering, Ohio |
| Authorized Official Name and Position | Annette M Chavez (OWNER/PHYSICIAN) |
| Authorized Official Contact | 9376433083 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carillon Family Practice Ltd 2501 S Dixie Dr Kettering OH 45409-1523 Ph: (937) 643-3083 | Carillon Family Practice Ltd 2501 S Dixie Dr Kettering OH 45409-1523 Ph: (937) 643-3083 |
| NPI Number | 1366429342 |
|---|---|
| Provider Enumeration Date | 12/29/2005 |
| Last Update Date | 12/17/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366429342 | NPI | - | NPPES |
| 2328529 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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